| NPI | 1972313591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: OH RH729142) |
| 172A00000X Driver (Licence: OH RH729142) | |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |